Ligon, Douglas Wister

Ligon, Douglas Wister is an individual health care provider with primary practice located at 4895 East Main St Ste A, Erin TN 37061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Ligon, Douglas Wister can be contacted via phone (931) 289-2929.

Contact Information

Primary practice address
4895 East Main St Ste A Erin TN 37061
Phone: (931) 289-2929
Fax: (931) 289-2930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD6383 Tennessee

Profile Details

NPI number 1376579730
LBN Legal business name Ligon, Douglas Wister
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Jan 25th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376579730 NPPES
Tennessee Other 810676663 TAX IDENTIFACTION
Tennessee Other MD0000006383 TAX IDENTIFACTION
Tennessee Other P00282547 TAX IDENTIFACTION
Tennessee MEDICAID 3148023 TAX IDENTIFACTION
Tennessee Other 4113788 TAX IDENTIFACTION

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